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  Indian J Med Microbiol
 

Figure 2: (a) Contrast enhanced computed tomography image of the brain showing a heterogeneously enhancing soft tissue density lesion involving the nasopharynx, maxillary sinus, and the infratemporal fossa on the left (block area). (b) Contrast-enhanced computed tomography image of the brain showing the extension of the nasopharyngeal lesion into the left orbit causing proptosis (block area). (c) Computed tomography image of the brain in bone window showing bony destruction involving the nasal septum, vomer, clivus, sella and left-sided greater wing of sphenoid, pterygoid process, sphenoid bone, petrous part of the temporal bone, and turbinates (block area). Left-sided mastoiditis also seen. (d) Computed tomography image of the brain demonstrating dilated lateral ventricles (block area). There was also dilatation of the 3rd and 4th ventricles (not shown in the image) suggesting communicating hydrocephalus

Figure 2: (a) Contrast enhanced computed tomography image of the brain showing a heterogeneously enhancing soft tissue density lesion involving the nasopharynx, maxillary sinus, and the infratemporal fossa on the left (block area). (b) Contrast-enhanced computed tomography image of the brain showing the extension of the nasopharyngeal lesion into the left orbit causing proptosis (block area). (c) Computed tomography image of the brain in bone window showing bony destruction involving the nasal septum, vomer, clivus, sella and left-sided greater wing of sphenoid, pterygoid process, sphenoid bone, petrous part of the temporal bone, and turbinates (block area). Left-sided mastoiditis also seen. (d) Computed tomography image of the brain demonstrating dilated lateral ventricles (block area). There was also dilatation of the 3<sup>rd</sup> and 4<sup>th</sup> ventricles (not shown in the image) suggesting communicating hydrocephalus